they would punish many of us. many doctors would take on patients that were obese from low socioeconomic status, patients that we know will have a tough time with all of. and the outcomes are going to look back. we guarded the public availability of data for a long time. that was a part of that. but now we have new metrics. the field of measuring quality has matured. the doctors groups have gotten together and create formulas to measure quality in ways that are fair and risk-adjusted. we have cardiology professional associations and the times when you say i am having chest pain to the time when you say you have an ekg is a marker of quality. the surgeons groups have come up with formulas to measure complication rates. and they are measuring complication rates, and it turns out that some hospitals, the complication rates are 400% of that of other hospitals, all of which are good hospitals. now we have a dilemma as a society based on these advances in the last two years. we believe the public has a right to know abo